华南预防医学 ›› 2024, Vol. 50 ›› Issue (3): 231-235.doi: 10.12183/j.scjpm.2024.0231

• 论著 • 上一篇    下一篇

2014—2020年武汉市心脑血管事件发生特征分析

江瑞莲1, 代娟2   

  1. 1.武汉市江夏区疾病预防控制中心,湖北 武汉 430200;
    2.武汉市疾病预防控制中心
  • 收稿日期:2023-07-17 出版日期:2024-03-20 发布日期:2024-04-22
  • 通讯作者: 代娟,E-mail:daijuan@whcdc.org
  • 作者简介:江瑞莲(1990—),女,硕士研究生,医师,从事疾病预防控制工作

Characteristics of cardiovascular and cerebrovascular events in Wuhan,2014 - 2020

JIANG Ruilian1, DAI Juan2   

  1. 1. Wuhan Jiangxia District Center for Disease Control and Prevention,Wuhan 430200,China;
    2. Wuhan Center for Disease Control and Prevention
  • Received:2023-07-17 Online:2024-03-20 Published:2024-04-22

摘要: 目的 了解武汉市心脑血管事件发病特征,为相关预防控制工作提供参考。方法 采用描述性流行病学方法对2014—2020年武汉市心脑血管事件资料进行回顾性分析。结果 2014—2020年武汉市心脑血管事件标化发病率298.39 /10万,标化发病率逐年下降(P<0.05);2014—2018年心脑血管事件发病率变化趋势无统计学意义(APC=-0.14%,P>0.05),2018—2020年心脑血管事件发病率呈下降趋势(APC=-6.92%,P<0.05);男性心脑血管事件发病率、标化发病率均高于女性(均P<0.01),且女性发病率、标化发病率APC呈下降趋势(P<0.05)。男性心脑血管事件发病年龄(中位数为67.0岁)早于女性(中位数为72.0岁)(P<0.01);心脑血管事件发病率随年龄增长呈上升趋势,在40岁之前处于较低水平,≥40岁后逐渐上升,至≥85岁达到峰值(3 436.63/10万);中心城区标化发病率低于远城区(P<0.01),且中心城区的发病率、标化发病率APC均呈下降趋势(均P<0.05),远城区发病率、标化发病率APC下降趋势不明显(P>0.05)。结论 2014—2018年武汉市居民心脑血管事件发病率呈平稳趋势,2018—2020年呈下降趋势,远城区、男性、老年人群应作为心脑血管事件发病的重点关注人群。

关键词: 心脑血管事件, 发生特征, 趋势分析

Abstract: Objective To understand the characteristics of cardiovascular and cerebrovascular events in Wuhan and provide the reference for related prevention and control work. Methods The data of cardiovascular and cerebrovascular events in Wuhan from 2014 to 2020 were retrospectively analyzed by descriptive epidemiological methods. Results From 2014 to 2020,the standardized morbidity of cardiovascular and cerebrovascular events in Wuhan was 298.39/100 000,and the standardized morbidity decreased year by year (P<0.05). There was no significant change in the morbidity of cardiovascular and cerebrovascular events from 2014 to 2018 (APC= -0.14%,P>0.05),the morbidity of cardiovascular and cerebrovascular events showed a downward trend from 2018 to 2020 (APC= -6.92%,P<0.05). The morbidity and standardized morbidity of cardiovascular and cerebrovascular events in males were higher than those in females (P<0.01),and the morbidity and standardized morbidity of APC in females showed a downward trend (P<0.05). The onset age of cardiovascular and cerebrovascular events in males (median age 67.0 years) was younger than that in females (median age 72.0 years) (P<0.01). The morbidity of cardiovascular and cerebrovascular events increased with age,and was at a low level before 40 years old,and gradually increased after 40 years old,reaching a peak after 85 years old (3 436.63 per 100 000). The standardized morbidity in central urban area was lower than that in remote urban area (P<0.01),and the APC of the morbidity and standardized morbidity in central urban area showed a decreasing trend (both P<0.05),while in remote urban area showed no obvious decreasing trend (P>0.05). Conclusions The morbidity of cardiovascular and cerebrovascular events in Wuhan showed a stable trend from 2014 to 2018,and a decreasing trend from 2018 to 2020. The population in the remote urban area,males,and the elderly should be the key groups of attention.

Key words: Cardiovascular and cerebrovascular events, Characteristics of morbidity, Trend analysis

中图分类号: 

  • R195.4